Last week on The Real Housewives of Orange County, Gretchen and Vicki nearly came to blows over Slade’s comedy sketch. Then Alexis checked in to her plastic surgeon’s office for “sinus surgery.” You know how that goes.

Briana, Vicki’s daughter, is having a medical crisis, too. A serious one. Except Vicki’s kind of stealing her daughter’s thunder. Let’s find out what the girls of Orange County are up to this week with our THG +/- recap!

The Real Housewife of Orange County has had work done on her breasts and lips, while also having undergone multiple Botox injections. So she was totally relaxed when going under the knife last month for a nose job, right? Wrong.